Active NPI
Vicki Demoss, MS,OTR/L, MPA
- Occupational Therapist
- Johnston, IA
National Provider Identifier
1003084831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00755
- Practice address
- 6500 Corporate Dr
Johnston, IA 50131-1603 - Phone
- (515) 270-9030
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00755 | IA | Primary |
Addresses
Primary practice location
6500 Corporate Dr
Johnston, IA 50131-1603
Mailing address
4119 SE 23Rd St
Des Moines, IA 50320-2629
Phone (515) 480-5695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00755 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736640000000",
"number": "1003084831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 SE 23RD ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503202629",
"telephone_number": "515-480-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 CORPORATE DR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311603",
"telephone_number": "515-270-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOSS",
"first_name": "VICKI",
"credential": "MS,OTR/L, MPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2025-01-12",
"certification_date": "2025-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "00755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.